DR. CAROLE DOULL BERK PSY.D.
NPI 1629157573
Specialist in Chicago, IL

Q: What is Carole Berk's NPI number?

The NPI number for Carole Berk is 1629157573. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Carole Berk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Carole Berk enrolled in Medicare?

No. Carole Berk has opted out of Medicare through August 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Carole Berk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 03, 2006Opted out of Medicare · through Aug 26, 2027

30 N MICHIGAN AVE, SUITE 506, CHICAGO, IL 60602(312) 630-1943(312) 580-1188 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Carole Doull Berk Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLE DOULL BERK PSY.D. (NPI 1629157573) is an individual specialist in Chicago, Illinois and active in the NPI registry since November 2006. She has opted out of Medicare through August 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629157573

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. CAROLE DOULL BERKCredential: PSY.D.

Location Address30 N MICHIGAN AVE, SUITE 506Chicago, IL 60602-3402

Mailing Address30 N Michigan Ave, Suite 506Chicago, IL 60602-3402 · (312) 630-1943 · Fax (312) 580-1188

Phone(312) 630-1943

Fax(312) 580-1188

Sole ProprietorYes

Enumeration DateNovember 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629157573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

30 N MICHIGAN AVE, Chicago, IL 60602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carole Doull Berk Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2019 through August 26, 2027.

Opt-Out Effective DateAugust 26, 2019

Opt-Out In Effect ThroughAugust 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY M. CROWE DMD PC

Dentist (General Practice)

30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602

Cook County (312) 782-2844

AYESHA SIDDIQI M.D.

Allergy & Immunology

30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602

Cook County (312) 236-3642

SUSAN LYNN PELTON PH.D.

Psychologist (Clinical)

30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602

Cook County (312) 909-9699

MS. BETTY B. SMITH LCSW, BCD

Social Worker (Clinical)

30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602

Cook County (312) 201-1301

DR. KEVIN D DOW D.D.S

Dentist (General Practice)

30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602

Cook County (312) 372-4845

MARYSUE MASTEY LCPC

Counselor (Professional)

30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602

Cook County (847) 302-8647

DR. NADIA PERSHAD PSY.D.

Psychologist (Clinical)

30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602

Cook County (773) 495-8905

MRS. ERINN WILLIAMS LPC

Counselor (Professional)

30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602

Cook County (312) 279-9981

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carole Berk's NPI number?

The NPI number for Carole Berk is 1629157573. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Carole Berk located?

Carole Berk practices at 30 N Michigan Ave Suite 506, Chicago, IL 60602. The listed phone number is (312) 630-1943.

What is Carole Berk's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Carole Berk enrolled in Medicare?

No. Carole Berk has opted out of Medicare through August 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carole Berk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.